Clark, Larry Andrew

Clark, Larry Andrew is an sole proprietor health care provider with primary practice located at 435 N Roxbury Dr Ste 100, Beverly Hills CA 90210-5027. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Clark, Larry Andrew can be contacted via phone (310) 855-8058.

Contact Information

Primary practice address
435 N Roxbury Dr Ste 100 Beverly Hills CA 90210-5027
Phone: (310) 855-8058
Fax: (310) 855-8059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 124156 California

Profile Details

NPI number 1174884456
LBN Legal business name Clark, Larry Andrew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2012
Last updated Jun 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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